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Executive Summary

Human self-regulation depends on the dynamic coordination of three sensory–regulatory domains:

1. Proprioception (Form):
   The body’s mechanical organization and tension patterns determine how stable, grounded, and supported movement and posture feel. Chronic bracing or collapse alters emotional tone and cognitive interpretation.
2. Interoception (State):
   The sensing and regulation of internal physiological conditions (heart rate, breath, visceral signals) determine autonomic balance and emotional intensity. Interoceptive precision is the basis for emotional experience and self-awareness.
3. Exteroception (World):
   Perception of the environment is shaped by internal physiological state. When internal state predicts safety, the world feels open and navigable; when internal regulation is unstable, the same world appears threatening or overwhelming.

These three fields are continuously coupled at neural, mechanical, and behavioral levels through the insula, anterior cingulate cortex, hypothalamus, periaqueductal gray, and cerebellum, forming an integrated system that maintains coherence.

• Coherence: alignment of form, state, and world → experienced as presence, emotional stability, and self-continuity.
• Dys-Coherence: misalignment among the fields → experienced as anxiety, pain, collapse, dissociation, or loss of agency.

This framework reinterprets diverse clinical presentations not as discrete diseases, but as patterns of dys-coherence:

Presentation	Dys-Coherence Pattern
Anxiety & panic	High tension + high arousal + threat interpretation
Depression & collapse	Low tone + low arousal + flattened meaning
Chronic pain & somatic hypervigilance	Rigid form + unstable state + amplified sensation
Dissociation & identity fragmentation	Reduced form sensing + dampened state + perceptual detachment

Effective treatment must follow a specific sequence:

1. Restore Form:
   Reduce bracing or collapse → restore mechanical adaptability.
2. Stabilize State:
   Rebuild autonomic variability and interoceptive tolerance.
3. Re-map World Interpretation:
   Reintroduce trust, context, and safe relational cues.

Meaning, narrative processing, and identity integration can only be undertaken after coherence is restored.

This provides a unified clinical model that bridges medicine, psychiatry, somatic therapy, rehabilitation, and contemplative practice.